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    <title>easytrip</title>
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<div id="public-style">
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<div class="content w clearfix">
    <div id="public-side"></div>
<div class="easytrip-orderpush">
    <!--发单详情头部 -->
    <div class="orderpush-header">
        <span>发单详情</span>
    </div>
    <div class="orderpush-way">
        <div class="orderpush-wayfirst">
            <form class="layui-form" action="">
                <div class="layui-form-item">
                    <label class="layui-form-label">发单方式：</label>
                    <div class="layui-input-block">
                        <select name="city" lay-verify="required">
                            <option value="">QQ/微信/短信等</option>
                            <option value="0">QQ</option>
                            <option value="1">微信</option>
                            <option value="2">短信</option>
                            <option value="3">电话</option>
                            <option value="4">邮件</option>
                        </select>
                    </div>
                    <span>该发方式无法自动发单，但可以自动接单</span>
                </div>
            </form>
        </div>
        <div class="orderpush-waysecond">
            <span>联系方式：</span><p>12345678901</p>
            <br>
            <span class="orderpush-waysecondto">TO：</span> <p>长沙魔都时尚酒店</p>
        </div>
    </div>
    <div class="orderpush-notice">
        <div class="orderpush-noticeheader">
            DHDL6758 预订客房通知单
        </div>
        <div class="orderpush-noticecontent clearfix">
        <form class="layui-form" action="">
            <div class="layui-form-item">
                <label class="special-label">客人姓名：李新飞</label>
                <div class="layui-input-inline">
                    <input type="text" name="title" required  lay-verify="required" placeholder="英文/拼英:" autocomplete="off" class="layui-input">
                </div>
            </div>
            <div class="layui-form-item">
            <label class="layui-form-label">住宿日期：</label>
            <div class="layui-input-block">
                2017-09-04至2017-09-05 &nbsp;&nbsp;&nbsp;&nbsp;  共1晚
            </div>
        </div>
            <div class="layui-form-item">
                <label class="layui-form-label">预订客房：</label>
                <div class="layui-input-block">
                    预订客房：豪华双人间   （无早）&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;        共1间
                </div>
            </div>
            <div class="layui-form-item">
                <label class="layui-form-label">房价:</label>
                <div class="layui-input-inline">
                    <input type="text" name="title" required  lay-verify="required" placeholder="英文/拼英:" autocomplete="off" class="layui-input">
                </div>
            </div>
            <div class="layui-form-item">
                <label class="layui-form-label clearfix"><span>房费：</span></label>
                <div class="layui-input-block">
                    <div>预付，共计CNY295（含服务费） <a href="javascript:;" class="roomstyle-price1">修改</a></div>
                    <input type="radio" name="pushway" placeholder="使用房费发单" title="使用房费发单" checked=""><br>
                    <input type="radio" name="pushway" placeholder="隐藏房费发单" title="隐藏房费发单"><br>
                    <input type="radio" name="pushway" placeholder="使用采购价格代码发单" title="使用采购价格代码发单">
                    <div class=""><input type="text"><span>可输入多个，请用逗号“，”隔开</span></div>
                </div>
            </div>
        </form>
        </div>
        <div class="orderpush-noticecontent clearfix">
            <span>付款方式：</span>
            <form class="layui-form" action="">
                <div class="layui-form-item">
                    <label class="layui-form-label">房费</label>
                    <div class="layui-input-block">
                        <input type="radio" name="roomprice" placeholder="我司预付" title="我司预付" checked="">
                        <input type="radio" name="roomprice" placeholder="我司挂账" title="我司挂账">
                    </div>
                </div>
            </form>
            <form class="layui-form" action="">
                <div class="layui-form-item">
                    <label class="layui-form-label">杂费</label>
                    <div class="layui-input-block">
                        <input type="radio" name="Incidental" placeholder="客人自理" title="客人自理" checked="">
                        <input type="radio" name="Incidental" placeholder="我司预付" title="我司预付" >
                        <input type="radio" name="Incidental" placeholder="我司挂账" title="我司挂账">
                    </div>
                </div>
            </form>
        </div>
        <div class="orderpush-noticecontent clearfix">
            <form class="layui-form" action="">
                <div class="layui-form-item layui-form-text">
                    <label class="layui-form-label">特殊要求</label>
                    <div class="layui-input-block">
                        <textarea placeholder="请输入内容" class="layui-textarea"></textarea>
                    </div>
                </div>
            </form>
        </div>
        <div class="orderpush-noticecontent clearfix">
            <form class="layui-form" action="">
                <div class="layui-form-item layui-form-text">
                    <label class="layui-form-label">预定说明</label>
                    <div class="layui-input-block">
                        <textarea placeholder="请输入内容" class="layui-textarea"></textarea>
                    </div>
                </div>
            </form>
        </div>
        <div class="orderpush-noticecontent clearfix">
            <span>From:</span>易旅（湖南易旅科技有限公司）
        </div>
        <div class="orderpush-noticecontent clearfix">
            <span>日期:</span>2017-09-04 李新飞 186-5896-6586
        </div>
    </div>
    <div class="orderpush-button">
        <div>
            复制到微信/QQ发单
        </div>
        <div>
            复制到短信发单
        </div>
        <div>
            订单详情
        </div>
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            返回
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    <div class="easytrip-footer">
        copyright by 湖南易旅科技有限公司 2017
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